Provider Demographics
NPI:1013721851
Name:POOL, RENAE JOY
Entity type:Individual
Prefix:
First Name:RENAE
Middle Name:JOY
Last Name:POOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 20 RD
Mailing Address - Street 2:
Mailing Address - City:NAPONEE
Mailing Address - State:NE
Mailing Address - Zip Code:68960-5167
Mailing Address - Country:US
Mailing Address - Phone:308-920-2612
Mailing Address - Fax:
Practice Address - Street 1:408 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:NE
Practice Address - Zip Code:68920-2089
Practice Address - Country:US
Practice Address - Phone:308-920-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist